STOCK DONATION FORM

Please complete the information below to notify the Community Center of Northern Westchester of your gift and help ensure it is processed accurately.

1 Start 2 Preview 3 Complete

Name and Type of Securities *

(e.g. DELL Common Stock)

Security Symbol & Number of Shares *

Transfer Date *

Month

Day

Year

Donor Name *

(Individual, Corporation, Foundation)

Donor Address *

Donor Email Address *

(to be used only if a question arises in the donation process)

Donor Telephone Number *

(to be used only if a question arises in the donation process)

Broker Name *

Broker Address *

Broker Contact/Telephone *

Date Submitted *

Month

Day

Year

Please consult with your tax advisor before making a charitable donation to any charity.

You may be eligible to increase the power of your donation with employer matching funds. Many employers will match your personal donation. Check with your company for more information on matching gift programs. Employer matching gifts may also be available to you if you are the spouse of an employee, a retired employee, or the spouse/widow/widower of a retiree.

THANK YOU AGAIN FOR CONSIDERING THE COMMUNITY CENTER OF NORTHERN WESTCHESTER AS THE RECIPIENT OF YOUR CHARITABLE GIFT.

Español

Search form

STOCK DONATION FORM